Differences in peritoneal dialysis technique survival between patients treated with peritoneal dialysis systems from different companies

Objective To compare the long-term viability of continuous ambulatory peritoneal dialysis (CAPD) to that of hemodialysis (HD). Design Retrospective study of patients of our institution starting dialysis between January 1,1981, and December 31, 1993, and surviving for at least 2 months. Patients Five hundred and seventy-eight new patients (51.3% on CAPD and 48.6% on HD). Main Outcomes Studied Cox -adjusted assessment of patient and technique survival, and of technique success. Differences in results for two successive periods of time. Results Patient survival did not differ between CAPD and HD after adjusting for age and comorbidity, and significantly improved in the second part of the follow-up (1987 -1993). Technique failure was significantly higher on CAPD, in which it was inversely related to age. The probability of a patient continuing on the first method of dialysis (“technique success”) was significantly lower on CAPD than on HD, but the difference decreased progressively with age and disappeared in patients ≥75 years. Conclusion CAPD is as effective as HD in preserving life in uremic patients in the long-term, and gives better results in the older elderly. In adults, the lower technique success rate may not be a problem for patients with access to a good transplantation program; for others, this drawback must be weighed against the advantages of home treatment.

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Evolution of peritoneal dialysis technique failure from 2002 to 2017 in France. RDPLF data.

Bulletin de la Dialyse à Domicile ◽

10.25796/bdd.v1i3.54 ◽

2018 ◽

Vol 1 (3) ◽

pp. 127-133

Author(s):

Benoît SCHWARTZ ◽

Fatouma TOURE

Keyword(s):

Peritoneal Dialysis ◽

Technique Survival ◽

Catheter Dysfunction ◽

Health Goal ◽

Public Data ◽

Public Health Goal ◽

End Stage ◽

Patients Experience ◽

Technique Failure ◽

Dialysis Technique

English AbstractIn France, 6 to 7 % of patients with end stage renal failure are treated by peritoneal dialysis (1). Despite the annual augmentation of treated patients, it’s still under public health goal. Peritoneal dialysis technique failure is one restraint of technique growth in France. The RDPLF collect data about technique survival and infections since 1986. Technique failure width is on restraint of PD growth. We used available data to describe trends in the different causes of technique failure to identify areas with feasible improvement to increase technical survival. Methods: This retrospective study includes public data from RDPLF over the 2002-2017 period.Results: More than 30% of treated patients experience technique failure each year and transfer to hemodialysis count for 33%. Main causes of HD transfer are inadequate dialysis, peritonitis, catheter dysfunction and fluid inadequacy. The study of technique failure causes trends shows a decreased mortality form 51% in 2002 to 38% in 2017 (p<0.05), an increase of transplantation access from 15% to 22% (p<0.05). Transfer to hemodialysis is stable 33% to 36% in the same period. The analysis au hemodialysis transfer shows a decrease of peritonitis from 22% in 2002 and 26% in 2004 to 13.6% in 2017 (p<0.05). It shows a light increase of catheter dysfunction from between 7-8% during 2002-2005 period, to 8.6-11.8% during 2013-2016 period (p>0.05). Conclusion: Technique failure causes evolved over the past fifteen years in France, there is an improvement in mortality and access to transplant, a decrease in peritonitis. Despite technique improvement and new PD solutions (Icodextrine based, biocompatible), there is still 10% of PD patients transferred each year to hemodialysis without favorable trends.

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Early Start Peritoneal Dialysis: Technique Survival in Long-Term Follow-Up

Kidney & Blood Pressure Research ◽

10.1159/000495386 ◽

2018 ◽

Vol 43 (6) ◽

pp. 1699-1705 ◽

Cited By ~ 4

Author(s):

Bruno C. Silva ◽

Erica Adelina ◽

Benedito J. Pereira ◽

Lilian Cordeiro ◽

Camila E. Rodrigues ◽

...

Keyword(s):

Peritoneal Dialysis ◽

Early Start ◽

Technique Survival ◽

Long Term Follow Up ◽

Dialysis Technique

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SP525SERUM CERULOPLASMIN LEVEL AS A PREDICTOR FOR THE PERITONEAL DIALYSIS TECHNIQUE SURVIVAL

Nephrology Dialysis Transplantation ◽

10.1093/ndt/gfx151.sp525 ◽

2017 ◽

Vol 32 (suppl_3) ◽

pp. iii305-iii305

Author(s):

Natalia Stepanova ◽

Lesya Korol ◽

Olena Burdeyna

Keyword(s):

Peritoneal Dialysis ◽

Technique Survival ◽

Ceruloplasmin Level ◽

Dialysis Technique

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Impact of Hernias on Peritoneal Dialysis Technique Survival and Residual Renal Function

Peritoneal Dialysis International ◽

10.3747/pdi.2012.00255 ◽

2013 ◽

Vol 33 (6) ◽

pp. 629-634 ◽

Cited By ~ 22

Author(s):

Sagrario Balda ◽

Albert Power ◽

Vassilios Papalois ◽

Edwina Brown

Keyword(s):

Renal Function ◽

Peritoneal Dialysis ◽

Case Control Study ◽

Residual Renal Function ◽

Abdominal Hernia ◽

Retrospective Case ◽

Technique Survival ◽

History Of ◽

Dialysis Technique ◽

Control Study

ObjectiveWe evaluated the effect of hernias and their surgical or conservative management on peritoneal dialysis (PD) technique survival and residual renal function.MethodsThis 10-year single-center retrospective case–control study (January 2001 – January 2011) compared patient survival, PD technique survival, and residual renal function in patients with a history of abdominal hernias and in a control cohort matched for age and PD vintage.ResultsOf 73 hernias identified in 63 patients (mean age: 55 years; 63% men), umbilical hernias were the most frequent (40%), followed by inguinal (33%), incisional, and epigastric hernias. Some hernias were surgically repaired before ( n = 10) or at the time of PD catheter insertion ( n = 11), but most (71%) were diagnosed and managed after initiation of PD. Overall, 49 of 73 (67%) hernias were treated surgically. In 53% of subjects, early postoperative dialysis was not needed; only 7 patients required temporary hemodialysis. The occurrence of a hernia and its treatment did not significantly affect residual renal function. After a hernia diagnosis or repair, 86% of patients were able to continue with PD.ConclusionsThe incidence of abdominal hernia and hernia management in patients on PD do not significantly influence residual renal function or PD technique survival. Timely management of hernias is advisable and does not preclude continuation with PD as a dialysis modality.

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